12070081CITY OF CUPERTINO 13UILDING PERMIT
I31i11-DING ADDRESS: 19503 S"1"I7VPNS CREEK BLVD UNIT 328 CON 'fRACI'Olt: RLI I.I.I.C'I"RIC COMPANY 1'F:R%UI NO: 12070081
OWNER'S NAME: ELAINI. C'IIONG
1151 Il,%RBOR BA1PKNVY S'IT 2061 I DAIT ISSUED:07/11/2012
OWNEWS PHONE: 6509068024 J ALAMED:A. C:A 94.,02 1 I'I ION F. NO 131(1)337-4947 1
L7 LICENSED CON"IRAC] fOR'S DECLARATION
I.iceluc Class� Lic. a
Contractor I , re. 1( ,, 0 C— Dane ✓l �/L
I hereby affirm that I am licensed under the provisions of Chapter 9
(commencing with Section 7001) of Division 3 of the Business & Professions
Code and that my license is in full force and effect.
I hereby affirm under penal)' of perjury one of the fallowing two declarations:
I have and will maintain a certificate of consent to self -insure for Worker's
Compensation, as provided Ibr be Section 3700 of Elie Labor Code, for the
perfornmmce of the work Ibr which this permit is issued.
I have and will maintain Worker's Compensation Insurance, u provided for by
Section 3700 ol'the Labor Codc, for the perfornimnce of the work lir which this
permit is issued.
%PPLICAN"f CERTIFICATION
I cerny that I have read this application mid state that the above information is
correct. I agree if, comply with all city and count) ordinances and stare laws relating
0h building construction, and iercbv authorize representatives of this city to enter
upon the above mentioned properly for inspection purposes. (We) agree tm save
indcninilj' and keep harmless the Cit of Cuperlino a inst liabilities, judgments.
costs. and expenses which nun' accrue against s:' y in consequence ol'the
,,ranting of Iltis permit, Addili ', the a cu nderslands and will conipl)'
w ill all nun -point snEtya Cu. aunt s e C- ino Municipal Code, Section
Signature �../ Date1,1,r,,1,,261?-
❑ OWNER -BUILDER DECLAMATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following Iwo reasons:
I. as owner of the property, or my employees with wages as their sole compensation.
will do Elie work, and the structure is not intended or offered for sale (See. 7044.
Business & Prole,sions Codc)
1, as owner of the propene. tan exclusively contracting with licensed contractors it,
construct the project (Sec.70-14. Business & Professions Code),
I hereby affirm under penalty (1f perjury one of the following three
declarations:
I have land will mlimain a Cenihca: of Consent to self -insure for Worker's
Compensation, m pro, ided for M' Section 3700 of the Labor Code. Ibr Ilio
perloxnmatce Ill [lie work lox which (his permit is issued.
I h;n'c and will maintain %k orker s Compensation Insurance. as provided low by
Section 3700 ol'Ihe Labor Code, lir the performance ul the work for which this
permit IS issued.
I certify that in the perlbrmance of the work for which this permit is issued, I shall
not enhploy any person in any nhamher so as to become subject to the Worker's
Compensation laws tit California IC utier making this certificate of exemption, 1
become subject to the Worker's Compensation provisions of the labor Code. I must
lirthwith comply with such provisions or this permit shall be deemed revoked.
APPLIC:AN"I' CERTIFICATION
I ceriiR that I have read this application and state that life above information is
correct. I agree to connply wish all city and county ordinances and state laws relating
in building construction, and urelly authorize representatives of this cit' to enter
upon the above nhcmioned property for inspection purposes. (We) agree to Save
indcmnifv and keep harmless the Cit of Cupertino against liabilities, judgments,
costs, and ,'.\pmts,', nyhieh neap accfuc against said City in consequence ollhc
,,ranting of this permit. Additional],', the applicant understands and will comply
with all non -point source regulmiuns per the Cupertino Municipal Code. Section
9.18,
Doc
BUILDING PF:I MIT INFO: BLDG I ELECT F PI. U.AIB r
:NIECII r RESIDEN TIAL r COJINI ERC IA 1. F
JOB DESCRIPTION: INS I ALL E.V. CI IARGING SI A HON A I GA WaID: a0 AM's
Sq. Ft Floor Area: I Valuation: 5900
ACV Number: 31049096.00 I Occupancy, 'I'vIle:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LASTCALLED INSPECTION.
Issued by:
RF: ROOFS:
All roofs shall be inspected prior it, any tooling material being installed If ;I roof is
installed without first obtaining an inspection. I aarce to renuwe all new 13IaICHa1% lin
inspection.
Sigmtlurc of
Date
ALL ROOF COVI!I(INGS'10 BE CLASS "A" OIt BE I-1'Elt
11 VARDOUS MA I']:it LALs DISCLOSE RE
I have read the hazardous malcrials requirements under Chapter 6.95 (it the
California Ilrallh & Sufcic Codc. Section, 25505, 25533, and 25534, 1 will maintain
compliance will) the Cuperlinn Municipal Code. Chapter 9.12 nail the Ilrallh
Safety Code, Section 25532(1) should I stare or handle hazai duus malei al.
Additionally, should 1 lac equipment or device, which emit hazardous air
conui ninnis its defined by the B:n' Arca ;%ir Quali(y yla n;IRrmcnl Dist, icl I will
maintain Compliance wish the (' Ili \Imlicip:d Code, Chapter 9.12 rail the
Ilrxh'1 5 (11 ScCli s 533, and 25574.
016ncr E,n IJY6r .cJent: z / j
L
CONS I ]tit('[ ION LENDING :\GF:NCY
I hereby :dlirm that there is if construction lending agcncv lir the perl6nin nce of work's
for which this permit is issued (Sec. 3097, Cie C.)
Lender's Name
Lender's
:ARCIII I EC I'S DEC 1,.%H %IION
I understand nw plans shall be used as public records.
Licensed
RESIDENTIAL PROJECT COVER SHEET
Assessor's Parcel Number:
Name ofowner.
Project address.
Pe
-S33-�O��
10/
Contact person. �� � S Phone. Seo - 17
Fax.
Net square footage of lot.
Square footage:
First floor:
Second
Garage:.
TOTAL
Existing
Proposed
Are there at least two 10 foot by'26 foot clear spaces inside the garage?
Is privacy protection planting required'for the project? Y lV
Build it Green Total Points
On what floor(s) is work being done?
Brief description of work. CZlS/wil Z;7c, .1
ell
Code editions: 2007 CBC DN)2007 CFC ( N)2007 CMC
2007 CPC (Y - N)2007 NEC. �f
(Y- N)
Effective l/l/08 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION - CUPERTINO
APPROVED
Thls set of plans and specifications MUST be kept at the
job site during constructlon. It is unlawful to make any
changes or alterations on same, or to deviate
therefrom, without approval from the Building Official.
The stamping of this plan and specifications SHALL NOT
be held to permit or to be an approval of the violation
of any provision of any City Ordinance or State Law.
BY
DATE'
PERMIT NO.,
Plan Review Process Work Book Page -8-Revised 8/05/08
0�e
'Ag
z�oz z i inr
CMATZROaZq
Sheetl
Page 1
C31
V7
BY:
Residential Load Calculation Work Sheet
Page 1 of 2
Name
George Lee
I
By REJ
Address
19503 Stevens Creek Blvd
Date:
07/11/12
City
Cupertino
Check if present
Loads
Description
V-A
Notes
Totals
Square Footage X 3 V-A per sq FT
3000 sq FT
3000 ' 3
9000
Kitchen
Circuits
Kitchen Counter Circuits
1500
2 X 1500
3000
Electric Range
5000
1 X 5000
5000
Electric Oven
2000
1 X 2000
2000
Microwave
1500
1 X 1500
1500
Garbage Disposal
1000
Dishwasher
3500
1 X 3500
3500
Garbage Compactor
1000
Instant hot Water
1500
Laundry Room
Laundry Circuit
1500
1500
Electric Clothes Dryer
4500
1 X 4500
4500
Heating, Ventilation, A/C
Central Heating and A/C forced air
6000
1 X 6000
6000
Central Forced Air Heater NO A/C
700
Window Mounted A/C units EACH
1000
Whole House Attic Fan
500
Central Electric Heating
8000
Evaporation cooler
500
Electric Heater -in wall w/fan EACH
600
Electric Baseboard Heat -Each
500
Radiator, Gravity, or wall Mount gas
0
Other Electrical Loads
Electric water heater
4000
Electric tank -less water heater
15000
Swimming pool or Spa
3500
Other Nameplate
Other Nameplate
Total of present Loads
36000
Page 1
C31
V7
BY:
Sheetl
Page 2
Residential Load Calculation Work Sheet
Page 2 of 2
Name
George Lee
I
By REJ
Address
19503 Stevens Creek Blvd
date;
V-A Totals
Total of present Loads from page 1
36000
Subtract 3000
-3000
subtotal
1
33000
Subtotal X 35 %
X.35=
11550
add back 3000
3000
3000
Total calculated Load
14550
V-A
add charger load
Coulomb Ct500
7200
9000
7.2 x 125%
Other at nameplate
3600
New Total Calculated Load
23550
V-A
Divide by 240 V
V-A /240
98
Required Amperes
Existing service 125a 240V install is OK
Page 2
CUPERTINO
GENERAL PERMIT, APPLICATION M E P
COMMUNITYDEVELOPMEN6 DEPARTMENT • BUILDING DIVISION
10300 TORRE'AVENUE:-=PERTINO, CA 95014-3255 / M I
(408)777-3228 • FAX'(408) 777-3333 • buildina(5)cuoertino.orn / /�/,�y %t �
F1 PLUMBING ❑AFCHAMCAL 'FTFCIRICAL MNESCELLANEOUS
PROJECT ADDRESS
O
0 314
OWNER NAME -/��IhYj
C J/yJ
H D_
E-MAIr-
STREET ADDRESS
CfTY ATE.
FAX
CONTACT NAME con 1 _ ���
"7T'
PHONE
E-MAIL
STREET ADDRESS
CITY, STATE, 78
FAX
❑ OWNER ❑ OwNER-BUDDER
❑ OwNERAGENT ,' WNTRACLOR ❑CONIRACIDRAGENr ❑ ARCHDEcr ❑ ENGWEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME
LICENSENUMBER '
LICENSE Tr
BUS. LIC a
COMPANY NANOE-MAR
N J
FAX `-o ao 1
STREET ADDRESS
r
.STATE, t Gu9
PHONE 3317-45
/
ARC3U=/EdG1NEEi NAME
(SENSE NUMBER
BUS. IIC0
COMPANY NAME
E-MAR
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
USE OF E1151F.DUPLEX'
BUROWG: ❑COMNIERCLV.
❑' MULTI -FAMILY
PROLECrW WRDf-WU ❑YES
URBAN NTERFACE AREA ❑NO
PROIECrW ❑ YES
FLOOD ]ONE ❑NO
OTHEBLOGAN OYES
EICHLER HOME! 0 N
DFSCRnMON OF WORK
l
TOTAL VALUATION:
RECEIVED BY:
By my signature below, I certify to each of the following:: am the property owner or authorized agent to act on the property owner's behalf. 1 bave read this
application and the information I have provided is correct I have read the Description of Work and verify it is accurate. I agree p comply with all applicable local
ordinances and state laws rela m building construction. I authorize representatives of Cupertino to enter the above-identi6edprope.—f For inspection put�oses.
Signature ofApplicant/Agrne N - — Date: W Q0
S
PLEMENTAL INFORMATION REQLM ED
OFFICE USE ONLY
m
LJ OVER-THE-COUNTER
Y
❑ EXPRESS
U
N
U
❑ STANDARD
❑ LARGE
c
❑ MAJOR
MSPMEscApp_2011.doc revised 06121111